| NPI | 1700695004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CROSBY Speech Language Pathologist 315-406-8753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-07-23 |